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T. <br /> 1 <br /> n4906 <br /> evereH THE EVERGREEN <br /> CITY OF /G, 7 r <br /> evere" DATE _ <br /> CITY HALL • EVE"" CITY OF EV:RETT <br /> WASHINGTON 98701 <br /> INSPECTION REPORT <br /> Inspecting Department: <br /> License <br /> Electrical Weights& Meas. --- , <br /> Fire <br /> Housing Engineering ----- <br /> Building Plumbing <br /> Inspectors Signatur .—.� <br /> i 4(/ C/ <br /> � Premises Inspected: <br /> I <br /> Tyq:of Building or property <br /> GD/✓sem'^^'E <br /> f <br /> Location or Address /� �' p t.t%�. <br /> Items Inspected: v �N <br /> y Ty %ri�/�•4/� f <br /> grin to nee( ,dditional inspection: &--ie— { �s-s,JA. �1 <br /> Items appearing � '" <br /> i�e on the Premises, <br /> certify that the above inspection was made. <br /> (fa +40 <br /> Sii <br /> — <br /> enre ___ <br /> s v <br /> Form No,424 LICIT X <br />